243 Church St., NW 100C
Vienna, VA 22180
703-255-3067

Register with Vienna Primary and Preventive Medicine

Welcome to the Vienna Primary and Preventive Medicine enrollment page. Enrollment reserves your spot in Dr Joffee's Direct Primary Care (DPC) practice. For patients who are new to Dr. Joffee, the patient-doctor treatment relationship begins at your first appointment, and we encourage you to schedule that soon. Today's charges will include a one time enrollment fee of $99 and a prorated membership fee for the remainder of the month. Starting next month you will be charged the monthly fee that corresponds to your age bracket on the 15th of every month.

We keep a credit card on file for all patients, but you can make arrangements with us set up monthly ACH debit from your checking account, or pay the entire year's membership fee at once by check, ACH debit, or credit card, or cash.

Please do not use this form if you have already enrolled as a patient in Dr. Joffee's new Direct Primary Care practice. If you do not receive an email with instructions on accessing the portal, or if you need to amend any of your enrollment information please contact us at 703-255-3067.

If you are already a registered patient with online access, you can log in here.

Basic Contact Information

Your Address

Contact Information

Emergency Contact

Insurance Information

Note: Our practice does not bill insurance, but this information makes it easier for us to refer you for other services (like labs or specialists)

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Patient Portal

Please create a username and password that you will use to log into the patient portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The patient portal gives you access to your medical records and lets you securely communicate with your doctors. When you sign up, you will receive an email with instructions for logging in.

Credit Card Information

A valid credit card is used to hold all appointments. No charges will be made until your first appointment.

Card Details

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Credit Card Billing Address

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